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19. During the last five years, has there been more than one occasion in which the General contractor or its <br />associates have been penalized or required to pay back wages for failure to comply with the federal <br />Davis -Bacon prevailing wage requirements? ❑ Yes ❑ No <br />If "yes," on a separate page, describe the violator, nature of each violation, name of the project, date of <br />its completion, the public agency for which it was constructed, the number of employees who were <br />initially underpaid and the amount of back wages and penalties that were assessed. <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />RFP FOR LED POST TOP RETROFIT STREETLIGHTS & SARTC STRUCTURE LIGHTING Page J 21 <br />